Page 68 - LECTURETTE TOPICS eBOOK

preserved. Cases of cortical mastoidectomy in the past with the tympanic

membrane intact and presenting no evidence of disease may be accepted.

External Ear. Cases of chronic otitis externa accompanied by exostoses or
unduly narrow meatii should be rejected. Exaggerated tortuosity of the canal,

obliterating the anterior view of the Tympanic Membrane will be a cause for
rejection.

Middle Ear. Tympanoplasty type I is acceptable twelve weeks after surgery,

provided ear clearance test in altitude chamber is normal. The following
middle ear conditions will entail rejection:-

(a) Attic, central or marginal perforation.
(b) Tympanic membrane scar with marked retraction.

(c) Tympanoplasty type II onward but not type I
(d) Calcareous plaques (tympanosclerosis) if occupying more than 1/3 of

pars tensa.
(e) Middle ear infections.

(f) Granulation or polyp.
(g) Stapedectomy/ Stapedolysis operation.

Miscellaneous Ear conditions. The following ear conditions will entails

rejection:-
(a) Otosclerosis even if successfully operated.

(b) Meniere’s disease.
(c) Vestibular Dysfunction including nystagmus of vestibular origin.

(d) Bell’s palsy.

OPHTHALMIC SYSTEM

Visual defects and medical ophthalmic conditions are amongst the major
causes of rejection for flying duties. Therefore, a thorough and accurate eye

examination is of great importance in selecting flying personnel.

Personal and Family History and External Examination.

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